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PENYEGARAN KADER KESEHATAN SEBAGAI UPAYA PENINGKATAN PENGETAHUAN TENTANG PENCEGAHAN HIPERTENSI DAN DIABETES MELITUS Yuanita Panma; Hertuida Clara
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 2 (2022): April
Publisher : Universitas Muhammadiyah Mataram

Abstrak: Hipertensi dan Diabetes Melitus (DM) merupakan penyakit degeneratif yang paling banyak diderita oleh masyarakat. Kedua penyakit tersebut perlu untuk dikendalikan secara terus-menerus. Salah satu faktor yang mempengaruhi pengendalian hipertensi dan diabetes melitus yaitu peran kader kesehatan. Kader merupakan ujung tombak pelayanan kesehatan di masyarakat. Penyegaran kader kesehatan perlu dilakukan secara rutin agar pengetahuan dan keterampilan kader tetap update. Kegiatan penyegaran kader ini dilakukan pada 22 (dua puluh dua) orang kader kesehatan di wilayah RT 05 RW 01, Kelurahan Susukan, Kecamatan Ciracas Tujuan kegiatan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan kader kesehatan mengenai DM dan hipertensi dan cara melakukan pengukuran tekanan darah yang benar. Kegiatan ini dilakukan dalam bentuk pretest, penyuluhan (penyampaian materi dan demonstrasi cara pengukuran tekanan darah) dan posttest (evaluasi materi dan redemonstrasi cara mengukur tekanan darah). Pada hasil pretest diperoleh rata-rata pengetahuan kader untuk hipertensi yaitu 62,0 dan untuk DM 60,0. Setelah mengikuti penyuluhan dan demonstrasi, terdapat peningkatan skor yang signifikan dimana rata-rata skor posttest pengetahuan kader untuk hipertensi yaitu 88,0 dan untuk DM 82,0. Seluruh kader dapat mendemonstrasikan kembali cara mengukur tekanan darah dengan sangat baik. Dari penyegaran kader ini diharapkan peran kader dapat lebih maksimal dalam melakukan screening tekanan darah dan diabetes di masyarakat.Abstract: Hypertension and Diabetes Melitus (DM) are the most common degenerative diseases suffered by the community. Both diseases need to be controlled continuously. One of the factors that influence the control of hypertension and diabetes melitus is the role of health cadres. Cadres are the spearhead of health services in the community. Refreshment of health cadres needs to be done regularly so that the knowledge and skills of cadres are kept up to date. This cadre refresher activity was carried out on 22 (twenty two) health cadres in the area of RT 05 RW 01, Susukan Village, Ciracas District. The purpose of this community service activity is to increase the knowledge of health cadres about DM and hypertension and how to measure blood pressure correctly. This activity is carried out in the form of pre-test, counseling (submission of material and demonstration of how to measure blood pressure) and post-test (evaluation of material and redemo- ration of how to measure blood pressure). In the pretest results, the average knowledge of cadres for hypertension was 62.0 and for DM 60.0. After attending the counseling and demonstration, there was a significant increase in the score where the average posttest knowledge of cadres for hypertension was 88.0 and for DM 82.0. All cadres can demonstrate again how to measure blood pressure very well. From this cadre refresher, it is hoped that the role of cadres can be maximized in screening blood pressure and diabetes in the community.

ASUHAN KEPERAWATAN PADA KLIEN TN. N DENGAN DIABETES MELLITUS DI RUANG FLAMBOYAN RSUD PASAR REBO Hertuida Clara; Rosdiana
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 1 No 1 (2017): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Diabetes Mellitus (DM) merupakan sekelompok kelainan heterogen yang ditandai oleh kenaikan kadar glukosa dalam darah atau hiperglikemia. Faktor pencetus penyakit diabetes mellitus, antara lain faktor keturunan, obesitas (kegemukan), mengkonsumsi makanan instan, terlalu banyak mengkonsumsi karbohidrat, merokok dan stres, kerusakan pada sel pankreas, dan kelainan hormonal. Diabetes mellitus (DM) dapat menyebabkan komplikasi pada berbagai sistem tubuh. Komplikasi DM bersifat akut dan kronik. Komplikasi akut meliputi hipoglikemia, sindrom hiperglikemik hiperosmolar nonketotik dan ketoasidosis, sedangkan komplikasi kronik dapat berupa kerusakan makrovaskuler dan mikrovaskuler. Total sampel yang digunakan pada populasi target dalam penelitian ini adalah klien bernama Tn. N jenis kelamin laki-laki, berusia 43 tahun dengan status perkawinan menikah, agama islam, suku bangsa jawa, pendidikan STM, bahasa yang digunakan bahasa indonesia, pekerjaan wiraswasta, alamat JL. Kel. Tengah RT 4 RW 4 Kelurahan kampung tengah Kecamatan Kel. Kramat Jati Jakarta. Sumber biaya JKN (Jaminan Kesehatan Nasional) dan mendapatkan informasi dari klien dan keluarga. Hasil penelitian adalah sebagai berikut : Resiko tinggi perdarahan berlanjut berhubungan dengan perdarahan gastrointestinal, Kelebihan volume cairan tubuh berhubungan dengan penurunan fungsi ginjal, Resiko perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan ketidakcukupan insulin, Resiko tinggi infeksi berhubungan dengan hiperglikemik, prosedur invansif: pemasangan infus, Kurang pengetahuan tentang penyakit: Diabetes mellitus (DM) berhubungan dengan kurangnya pemajanan informasi. Dari hasil penelitian ini dapat Pembahasan pengkajian terdiri dari etiologi, tanda gejala, komplikasi, pemeriksaan penunjang dan penatalaksanaan medis. Pada teori terdapat beberapa faktor yang dapat menyebabkan terjadinya diabetes mellitus tipe 2 yaitu faktor usia (setelah 40 tahun dan lebih umum diantara orang dewasa tua, dewasa obesitas), faktor obesitas, faktor genetik dan faktor lingkungan. Dari hasil pengkajian diabetes mellitus didapatkan bahwa klien mengalami diabetes mellitus karena adanya faktor usia dimana klien mengalami DM pada usia 43 tahun, selain itu faktor obesitas juga mendukung klien dapat mengalami diabetes mellitus dimana berat badan klien saat ini 85 kg, yang seharusnya berat badan klien adalah 60,3-73,7 kg dengan TB 167 cm. Pada pengkajian faktor pendukung yaitu klien dan keluarga yang kooperatif dalam memberikan informasi penyakit klien serta riwayat kesehatan yang lalu disamping itu penulis juga mendapatkan informasi dari perawat ruangan, catatan medis dan catatan keperawatan. Dalam faktor penghambat tidak ditemukan saat pengkajian.

Penerapan Teori Self-Care Orem Pada Asuhan Keperawatan Pasien dengan Osteoartritis Genu Bilateral Hertuida Clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 2 No 1 (2018): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Osteoarthritis of the knee (OA genu) is an idiopathic OA, which is characterized by degeneration of knee cartilage that affect the occurrence of disability. Due to disability they experienced, patient difficulty to perform self-care. Related to this, the role of nurses are needed in the provision of nursing care to approach the theory of Orem self care in patients with osteoarthritis genu. Nursing care methods with Orem's self care approach are applied to Mrs. MS is 52 years old with Bilateral OA Genu. The purpose of writing is to get real experience in providing nursing care for patients with bilateral OA Genu. The results obtained are complaints of controlled pain, optimal mobility achieved, patients can avoid the risk of falls and infection. The conclusion is that nursing care methods using Orem's self-care theory approach are effective to apply to patients with musculoskeletal system disorders, especially in cases of osteoarthritis because patients with these cases have self-care problems.

Hubungan Pendidikan dan Pengetahuan dengan Perilaku Manajemen Diri Diabetes Melitus Tipe 2 Hertuida Clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 2 No 2 (2018): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Patients with type 2 Diabetes Mellitus are at risk for complications including acute complications and chronic complications. It is estimated that diabetes is the leading cause of death worldwide with a global prevalence of 552 million. To prevent the occurrence of complications above, it is necessary to control diabetes through the implementation of correct and regular self management behavior every day. The aim of the study was to identify the relationship between the level of education and knowledge with the behavior of self-management of patients with type 2 Diabetes Mellitus. The study design used was cross sectional, with a sample of 112 respondents. Measuring instruments used are Diabetes Knowledge (DKN) Scale and Summary Diabetes Self Care Activity (SDSCA). The results showed a significant relationship between knowledge and self-management behavior (p value <0.001), so it can be concluded that self management behavior increases if patients with type 2 Diabetes Mellitus have good knowledge of DM self-management.

Asuhan Keperawatan Pada Pasien Dengan Diabetes Melitus Tipe 2 Dilla Rachmatul Khoir; Hertuida Clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 3 No 2 (2019): Buletin Kesehatan Publikasi Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Diabetes mellitus is a group of metabolic diseases characterized by increased glucose levels in the blood due to defect in insulin secretion, insulin action, or both. According to the World Health Organization (WHO) in 2016, diabetes mellitus is among the top 10 causes of death in the world. Clinical manifestations of Diabetes mellitus according to Black and Hawks (2014), have three characteristics, namely: polyuria, polyphagia, polydipsy, with complications that can occur in the form of microvascular and macrovascular complications. The purpose of this paper is to get real experience in providing nursing care to Diabetes Mellitus patients. The method used in writing scientific papers is descriptive method. The results of nursing care obtained are: for clinical manifestations, which are found in cases are polyuria, polydipsia, polyphagia, decreased BB, weak and tired. Of the seven nursing diagnoses in theory, there are two nursing diagnoses that appear in cases where the risk of nutritional changes is less than the body's needs related to insulin deficiency, nausea; Fatigue is associated with decreased metabolic energy production. At the implementation stage of nursing, of the five nursing diagnoses in this case, everything has been done so that there are no gaps. At the nursing evaluation stage, of the five nursing diagnoses in this case, there is one nursing diagnosis that can be overcome, namely excess fluid volume is associated with decreased kidney function, water retention.

Asuhan Keperawatan Pada Pasien Tn.A Dengan Congestive Heart Failure Firly Rahmatiana; Hertuida Clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 3 No 1 (2019): Buletin Kesehatan Publikasi Bidang Kesehatan
Publisher : AKPER Pasar Rebo

CHF or Congestive Heart Failure is a clinical syndrome or a set of signs and symptoms are characterized by shortness of wicked breath and fatik ( at nest or during activity). This cause by the inability of the heart to pump blood throughout the body, due to structural and functional disordes of the heart. Moreover, signs and symptoms will be found like shortness of breath at rest or during activity, feeling tired, not powerful, water retention such as pulmonary congestion. Leg edema, and abnormalities of heart structure and function (Marulam M, 2015). According to LeMone (2012), the consequences of heart failure quickly affect the lack of blood supply, thus causing cell death due to lack of oxygen carried in the blood it self. The goals of this research is to get real experience in nursing care for the patient. The method in this research is descriptive method or description of a case. The nursing problems in the form of cleaning the airway is not effective, in effective airway clearence associated with increased sputum production, decreased cardiac output associated with changes in myocardial contractility, structural changes, excess fluid volume is associated with retention. Four nursing diagnoses have not been resolved because congestive heart disease is an end-stage heart disease that is irreversible where the heart will not be able to recover as before

Pengaruh Pemberian Chlorhexidine Mouthwash 0.12% Terhadap Pencegahan Pneumonia Post Operasi Pada Pasien Ortopedi Hertuida Clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 4 No 2 (2020): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Background: Orthopedic patients undergoing surgery with general anesthesia often require intubation and ventilation in order to maintain adequate airway and maintain optimal respiratory function. Both of these procedures can increase the risk of Pneumonia or VAP (Ventilator Associated Pneumonia). Purpose: The purpose of this study was to identify the effect of the implementation of oral hygiene with chlorhexidine mouthwash 0.12% in pre surgery in preventing VAP cases. Methods: The research design used was a pre experiment with a purposive sampling technique. Evaluation of the signs of postoperative pneumonia was carried out 4 (four) days after surgery using a clinical indicator called the CPIS (Clinical Pulmonary Infection Score). Results: The results of this study indicate that the application of oral hygiene in pre surgery using chlorhexidine mouthwash 0.12% is effective in preventing postoperative pneumonia in all respondents. Conclusion: Postoperative pneumonia (VAP) can be prevented by performing oral hygiene using chlorhexidine mouthwash 0.12% in pre surgery.

Studi Kasus : Asuhan Keperawatan Pasien Dengan Efusi Pleura Firdha Rozak; Hertuida Clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 6 No 1 (2022): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Efusi pleura merupakan penumpukan cairan pada rongga pleura. Cairan pleura merembes secara terus menerus ke dalam rongga dada yang membatasi pleura parietalis dan diserap kembali oleh kapiler dan sistem limfatik pleura visceralis. Efusi pleura memiliki prevalensi 320 kasus per 100.000 orang dengan etiologi berbeda, di Amerika Serikat terjadi kasus efusi pleura 1,5 juta dengan multicausal seperti pneumonia, gagal jantung, emboli paru, kanker. Hasil pengkajian yang didapat pasien mengatakan batuk tetapi sulit mengeluarkan dahaknya, nafasnya seperti terhambat dan tidak lega, tampak adanya retraksi dinding dada tidak simetris, bunyi nafas ronchi di dada kiri. Tujuan tercapai, masalah teratasi dihari ke 3. Kesimpulan hasil pengkajian keperawatan, penyakit efusi pleura yang dialami pasien disebabkan oleh permeabilitas kapiler, misalnya pada kejadian infeksi dan trauma sehingga mengakibatkan terjadi penyebaran tuberkulosis dari paru

Is Acupressure Effective To Treat Pruritus In Hemodialysis Patients? A Literatur Review Yuanita Panma; Hertuida Clara; Siti Nurhayati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 4 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v8i4.431

Aims: Chronic kidney diseases effects make the pruritus prevalence in hemodialysis patients relatively high. Several studies have been conducted to determine the effect of acupressure on complaints of uremic pruritus. However, it is still debatable how acupressure relief pruritus complains regarding the duration of acupressure. This study aims to identify the effectiveness of acupressure against pruritus based on previous studies. Materials and Methods: An electronic literature search was conducted to identify studies that matched the inclusion criteria. The electronic databases used in this research are Wiley online library, Clinical key, ProQuest, EBSCO, and Google Scholar. The keyword used was “acupressure”, “pruritus”, “itch”, and “hemodialysis”. Results: We found 1,983 articles based on keywords, and five articles met the inclusion criteria after conducting the article selection process. Three of the four experimental studies measured pruritus using a visual analog scale, and one used a numerical scale. One study applied auricular acupressure, and four studies used acupressure. Four studies have shown that acupressure effectively reduces the scale of pruritus. One study showed no significant difference between acupressure, sham control, and negative control groups in two weeks of intervention in the severity of pruritus (p=0.66). Conclusion: Acupressure is effective in treating uremic pruritus and nurse can applied acupressure as a non-pharmacological intervention for pruritus in hemodialysis patients.

Penerapan Pijat Refleksi Kaki dalam Asuhan Keperawatan Pasien dengan Stroke Dahlia Puspita; Hertuida clara
Buletin Kesehatan: Publikasi Ilmiah Bidang kesehatan Vol 7 No 1 (2023): Buletin Kesehatan: Publikasi Ilmiah Bidang Kesehatan
Publisher : AKPER Pasar Rebo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36971/keperawatan.v7i1.132

Stroke is the third leading cause of death in the world and the main cause of physical disability in productive and old age. Stroke is a term used to describe neurological changes caused by an interruption of the blood supply to a part of the brain. Complications that will occur in stroke sufferers is that it can cause death. The aim of the study was to gain real experience in providing nursing care and in applying foot reflexology therapy in patients with non-hemorrhagic strokes. The research method used is descriptive method with a case study approach accompanied by the application of evidence-based practices. The results obtained from this study are that nursing care can be applied to male patients, aged 51 years with non-hemorrhagic strokes, where there are five nursing problems, namely ineffective cerebral tissue perfusion, risk of decreased cardiac output, risk of nutritional deficits, physical mobility barriers, self-care deficits. At the implementation stage, the authors did 10-15 minutes of foot reflexology therapy with a frequency of 1x/day for 3 consecutive days to lower blood pressure. The evaluation results showed a decrease in blood pressure on the 1st day and an increase in blood pressure on the 2nd and 3rd day. The conclusion obtained is that there is a gap between research findings on foot reflexology and the application of foot reflexology that the author does on patients, because to see significant results it takes time and considering there are other factors that can affect the condition of clients who not only experience hypertension but also stroke. Hopefully the results of this study can provide information about the application of foot reflexology therapy to patients and their families to reduce blood pressure

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